No referral needed in DC, Maryland, or Virginia
DC, Maryland, and Virginia are direct-access states for physical therapy. You don't need a referral from your primary care doctor to start PT for most conditions — just call or book online.
Insurance
Medicare Physical Therapy in Washington DC and Bethesda
District Physical Therapy is in-network with Original Medicare (Part B) and most Medicare Advantage plans for outpatient physical therapy at all three locations: Capitol Hill DC, Bethesda MD, and in-home visits throughout the DMV.
Plans we accept
- Original Medicare (Part B)
- Most Medicare Advantage plans
- Medicare with Medigap supplement
What you'll typically pay
With Original Medicare Part B, Medicare covers 80% of the approved amount for medically necessary PT after you meet the annual Part B deductible. The remaining 20% is your responsibility unless you have a supplement (Medigap). We file directly with Medicare — you don't pay upfront. With Medicare Advantage, coverage varies; most plans we work with have a copay of $20–$50 per visit.
Therapy thresholds and the KX modifier
Medicare has an annual therapy threshold. Once your PT charges exceed it, we add a KX modifier to confirm services are medically necessary. This is normal for active rehab cases and does not interrupt care when documentation supports continued therapy. We handle it in the background.
Conditions Medicare commonly covers
Post-surgical rehabilitation (joint replacement, rotator cuff, lumbar fusion), balance and fall prevention, vestibular rehabilitation for dizziness and vertigo, stroke rehab, neurological conditions, chronic pain rehab, and general orthopedic conditions.
In-home physical therapy and Medicare
If you have difficulty leaving home for outpatient visits, our In-Home program serves Medicare patients across DC, Maryland, and Virginia. In-home PT is billed under Part B at the same rates as clinic visits. Note: this is outpatient PT — different from Medicare-billed home health, which has separate eligibility requirements.
How to get started
Call your nearest location or book online. We verify your Medicare coverage at intake (usually same day) and schedule your first 60-minute evaluation with a Doctor of Physical Therapy within the week.
Frequently asked questions
Do you accept all Medicare Advantage plans?
We accept most. Specific plans vary by network — call us with your plan name and we'll verify in minutes.
What if I exceed the Medicare therapy threshold?
We continue care under the KX modifier when documentation supports medical necessity. Most patients don't notice anything different.
Do I need a referral?
Not in DC, MD, or VA for Original Medicare. Some Medicare Advantage plans require one — we'll let you know during verification.
How quickly can I get an appointment?
Same-week evaluations at all three locations.